• Title/Summary/Keyword: 응급대처

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The effects of muscle activity of ambulance workers carrying a patient on a stretcher with or without helmets (구급대원의 헬멧 무게에 따른 들것 들고 내릴때 근활성도에 미치는 융합 요인분석)

  • Shin, Dong-Min;Cho, Byung-Jun;Kim, Gyoung-Young
    • Journal of the Korea Convergence Society
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    • v.10 no.1
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    • pp.371-380
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    • 2019
  • Electromygram was measured in three different cases; not wearing of a helmet, wearing of a 920g helmet, and wearing of a 1310g helmet, and it was revealed that there was a high level of muscle activities on the opposite side (sternocleidomastoid muscle) while the head and the neck were moving right and left and muscle activities of the curve and of the hyperextension were found to be not significant. Especially, the presence of a helmet seemed to cause a difference in a level of muscle activities on the deltoid and erector spine muscles while lifting or lowering with a weight placed on the deniz backboard. Therefore, it would be possible to assume that this newly developed smart helmet would not affect muscles around the necks of paramedics if they do not move their necks and heads right and left while lowering or lifting a patient using the deniz backboard. In addition, in case of the deltoid and erector spine muscles, it is shown that an increase in the degree of movement could lead to an increase in the level of muscle activities on the muscles controlling of the corresponding action, which are waist and back muscles. Despite it, it would be possible to prevent possible injuries and/or muscular and skeletal diseases around the lumbar by fully complying with a basic rule of straightening of the waist while making a power-lifting motion.

Factors influencing success and safety of AED retrieval in out of hospital cardiac arrests in Singapore

  • NG, Jonathan Shen You;HO, Reuben Jia Shun;YU, Jae Yong;NG, Yih Yng
    • The Korean Journal of Emergency Medical Services
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    • v.26 no.2
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    • pp.97-111
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    • 2022
  • Purpose: Automated External Defibrillator (AED) usage in out-of-hospital cardiac arrests (OHCAs) improves the survival of patients. In Singapore, public AEDs are protected by locked boxes with a 'break glass' mechanism to deter theft. Community responders have sustained injuries while breaking glass to retrieve AEDs. This unprecedented study aimed to elucidate the factors influencing successful retrieval of an AED and to document the prevalence of injuries. Methods: A survey was created and distributed. Participants were required to have responded to an OHCA in the past 12 months. Comparison tests were performed with the Fischer-Freeman-Halton Exact test or Pearson chi square test at 5% significance levels, and with multiple logistic regression with a logit link function. Results: Eighty-eight participants were eligible. The success of retrieving an AED was found not to be impacted by occupation, age, gender or time. Participants who responded to an OHCA because of activation by the myResponder App were more likely to retrieve an AED successfully. (AOR 11.111, 95% CI: 2.141-58.824) Conclusion: Use of the myResponder mobile application is associated with the greater success of retrieving an AED. Successful retrieval of an AED is not impacted by time, gender, age, or the occupation of the responder. Community responders in Singapore remain motivated to respond to Cardiac Arrests despite risk of injury.

Behavioral Change of Workers who completed Experiential Safety Training (체험식 안전교육 이수 근로자의 행동 변화 연구)

  • Choonhwan, Cho
    • Journal of the Society of Disaster Information
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    • v.19 no.1
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    • pp.161-172
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    • 2023
  • Safety education delivered to construction workers in a lecture manner has limitations in concentration and immersion, so delivery power and interest are low. In order to improve unstable behavior through education and prevent safety accidents, it is necessary to change the paradigm to hands-on education. Purpose: Experiential safety education aims to contribute to preventing accidents for construction workers by quickly recognizing risks, improving emergency response skills, and verifying the effectiveness of pre- and post-learning. Method: Based on a survey of workers who experienced the same work environment as the actual construction site, an opinion survey on the pre- and post-safety experience education and a variable measurement tool were planned, and a research hypothesis was established. Results: The Bayesian theory and MC simulation analysis were used to analyze the structural equation model, and the change in construction worker behavior was confirmed through the intended safety (A), non-experiential education in the sub-area of anxiety (B), average, standard deviation, and minimum and maximum values. Conclusion: The effect of education and industrial accidents are reduced only when construction workers are motivated to participate.

DENTAL TRAUMA MANAGEMENT KNOWLEDGE AMONG A GROUP OF TEACHERS IN GWANG-JU (광주광역시 초중고 교사들의 치아외상에 대한 지식과 태도)

  • Yoon, Young-Mi;Lee, Nan-Young;Lee, Sang-Ho;Jang, Hyang-Gil
    • Journal of the korean academy of Pediatric Dentistry
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    • v.38 no.3
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    • pp.217-228
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    • 2011
  • The purpose of this study is to evaluate the level of dental trauma management in elementary, middle and high school teachers using questionnaires. 325 elementary school teachers, 101 middle school teachers, and 232 high school teachers, totally 658(males of 362, females of 296)teachers were provided with the questionnaires. Part I in the questionnaires was composed of their gender, age, experience as teachers and whether they received education about dental trauma or not. Part II included questions about appropriate attitudes in case of specific dental trauma. Part III was composed of questions asking knowledges about states of damaged teeth and possible emergency service. The attitude in managing tooth fracture showed significant difference between male and female teachers. The attitude in managing tooth avulsion showed significant difference among elementary, middle and high school teachers. Although it had difference according to questions, insufficient knowledge and awareness about the management of dental trauma were shown in the majority of teachers. It is recommended that educational program for improvement of awareness about immediate management of traumatized teeth is necessary for teachers.

A Study on development of general hospital security service (종합병원 경비업무의 발전방안에 관한 연구)

  • Ha, Jeong-Hun
    • Korean Security Journal
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    • no.53
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    • pp.187-208
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    • 2017
  • The purpose of this study is to find the development of the general hospital security business plan based on the problem that guards are now aware of general hospital security service. To achieve the purpose of this study, the interview was conducted by interviewing interviews with nine field specialists who are currently engaged in the hospital for more than six years. The guard who perform general hospital security service proposed a development plan of general hospital security services as follows. First, the security guards at the General Hospital must complete a new education program suitable for the nature of the workplace. Second, the job training of the comprehensive hospital guard service is also needed to improve the quality of the program in accordance with the actual situation. Third, general hospital security guards should be provided with CS training, CPR and use of defibrillators, etc., and how to respond to infectious diseases. Fourth, there should be a detailed description of the extent to which aggregations and violent acts at the General Hospital should be addressed. Fifth, the Security Association needs to develop active programs for security guards and various efforts to improve the security of hospitals. Sixth, it is necessary to change the recognition of general hospital' security services, and the form of direct employment is required rather than the subcontract contract.

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The Effect of Knowledge related to COVID-19, Performance of Infection Control and Job stress of Nurse in Emergency Department on the Nursing Performance (응급실 간호사의 COVID-19 관련 지식, 감염관리수행 및 직무스트레스가 간호업무수행에 미치는 영향)

  • Kwon, Mi Kyung;Je, Nam Joo
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.6
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    • pp.107-119
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    • 2022
  • This study was a descriptive research study to identify the effects of related knowledge to COVID-19, infection control performance, and job stress in emergency department nurses due to COVID-19 on nursing performance, to improve emergency department nurses' ability to cope with emerging infectious diseases and to prepare basic data for effective nursing work. This study was collected data from August, 10 until September, 10, 2021, for 165 emergency department nurses in 26 hospitals, which were located in G province and designated as regional emergency medical institutions, and total 150 copies were finally analyzed. Data were analyzed using descriptive statistics, t-test, ANOVA, correlation, and multiple regression. As a result of analyzing the variables affecting the subject's nursing job performance by multiple regression using the hierarchical selection method, the higher the infection control performance and the higher the job stress, the more higher the nursing job performance, and the explanatory power was 18.4%. The study results showed that infection control performance, job stress, and non-shift work had an effect on nursing performance. It was thought that various plans to protect them, reduced tasks to efficiently perform and the nursing ability to cope with emerging infectious disease should be prepared to improve and reduce the job stress of emergency department nurses.

Modeling of Dam collapse using PMF and MCE conditions (PMF 및 MCE조건을 적용한 댐 붕괴 모델링)

  • Lee, Dong Hyeok;Jun, Kye Won;Lee, Byung Dae
    • Proceedings of the Korea Water Resources Association Conference
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    • 2020.06a
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    • pp.368-368
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    • 2020
  • 최근 초대형화 되어 나타나고 있는 이상홍수와 지진 등에 의한 저수지 붕괴와 같은 대규모 비상상황 발생으로 하류지역 주민의 생명과 재산의 피해가 발생하고 있다. 국내의 경우 1996년 이후로 지속적으로 발생하고 있는 이상홍수로 인해 1998년에는 40개,1999년에는 5개의 소규모 저수지가 붕괴되었으며 최근 2013년과 2014년에도 저수지가 붕괴되는 상황이 발생했다. 댐붕괴의 원인은 구조물의 자연적 노화, 극심한 강우나 홍수, 지진, 제체전도, 파이핑, 침윤발생, 월류 및 파랑 등에 의한 자연적 상황 등이 요인이 될 수 있으며, 시공결함, 사고 또는 전쟁과 같은 인위적인 요인으로 발생할 수도 있다. 과거에 설계 및 시공기술이 부족하였거나 경제적인 이유로 부실하게 건설되어 있는 댐이 세계적으로 산재되어 있어 잠재적인 위험을 상당수 내재하고 있는 실정이다. 본연구는 댐의 점진적인 파괴에 의해 발생하는 유출수문곡선을 구하고 파괴의 성질을 예측 및 홍수파를 수리학적으로 추적하기위해 BREACH 모형과 DAMBRK 모형을 사용했으며 극한홍수(PMF)조건과와 최대지진발생(MCE)조건을 적용하여 원주시 관내 저수지 붕괴 모의 시나리오를 구축했다. 저수지 붕괴에 따른 유출수문곡선을 유도하기 위해서 본 연구에서는 기존의 EAP보고서 자료를 참고하여 붕괴지속시간, 붕괴부 평균폭, 붕괴부 측벽면 경사의 변화에 따라 다양한 모의를 수행함으로써 발생되는 붕괴부 유량 수문곡선을 도출하여 각각의 조건들이 붕괴파 형성에 미치는 영향에 대한 분석을 실시하였다. 그 결과 저수지의 붕괴시 첨두유출량에 민감한 영향을 주는 인자는 붕괴지속시간과, 붕괴부 평균폭으로서 이들 값이 붕괴유출량 변화에 많은 영향을 주는 것으로 나타났다. 최대지진발생(MCE)조건 해석결과 홍수류의 범람으로 인해 홍수파가 하류측으로 진행할수록 완만히 감소하며, 하천 중·상류부 인근 제내지로 홍수류의 범람이 발생하는 것으로 검토되었으며, 극한홍수(PMF)조건 해석결과 최대지진발생(MCE)조건과 같이 홍수파가 하류측으로 진행할수록 완만히 감소하는 특성을 보이며, 하천 전체 구간에서 인근제내지로 홍수류의 범람이 발생하는 것으로 검토되었다. 본 연구는 침수구역 피해규모 산정 및 비상대처계획도를 작성시 기초데이터가 되어 상황별 피해예상지역에 대해 응급행동요령, 주민대피계획비상대처계획을 수립하여 지역 주민생활에 안정을 기여하고자 한다.

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A Study on the Introduction of the National Point Number for Advanced Location-Finding (위치찾기 선진화를 위한 국가지점번호 도입방안 연구)

  • Yang, Sungchul
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.31 no.2
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    • pp.151-157
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    • 2013
  • The law for indicating the address based on the street name has taken effect in 1997. The address based on land-lot number will be changed to the address based on the street name giving odd numbers to the buildings situated on the left side and even numbers to the buildings situated on the right side per street. Searching locations by street name addresses is possible for residential areas, on the other hand, the system of finding locations is insufficient for farmlands, mountains and others, so it is unable to cope with crimes and emergency rescue. In order to make up for the weak points of street name address, the national point number, grid reference system was introduced for finding location of non-residential areas. Therefore, the purpose of this paper is to help the introduction the national point number. In this paper, we proposed a territory-oriented control point and grid range for the national point number. Numbering scheme of grid zone shall be alphanumeric, a two-letter pair Hangul and the grid coordinates in terms of Easting and Northing. We also proposed the notice area for the national point number and location of signs, application about the public and private sector.

Relationship between National Exam Stress and Subjective Oral Symptom in Allied Health Students (보건계열 대학생의 국가시험 스트레스와 주관적 구강이상증상)

  • Lee, Min-Young;Kim, Myung-Eun
    • The Journal of the Korea Contents Association
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    • v.20 no.5
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    • pp.351-358
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    • 2020
  • The aim of this study was to confirm for relationship between national exam stress and oral health status on allied health students. For this, 829 of allied health students were surveyed in four college and university located in Chungbuk and Kyungbuk. Survey tool were constituted general characteristic(4 items), national exam stress(16 items) and oral health status(34 items). The result of study, national exam stress of female were higher than male and that of department of dental hygiene, nursing, emergency medical service students were higher than other students(p<0.05). Subjective oral symptom were higher on high stress group than other groups(p<0.05). Relationship between stress and subjective oral symptom were related each other(p<0.01). Therefore it is necessary to education for manage oral symptom affected national exam stress.

Transcatheter Closure of a Residual Shunt after Surgical Repair of Traumatic Ventricular Septal Defect (외상성 심실중격결손 수술 후 잔존하는 심실중격결손에 대한 중재적 심도자술을 이용한 폐쇄)

  • Jeong, Hee Jeong;Lim, Han Hyuk;Yu, Jae Hyun;Lee, Jae Hwan;Kil, Hong Ryang
    • Clinical and Experimental Pediatrics
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    • v.48 no.10
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    • pp.1143-1143
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    • 2005
  • The traumatic ventricular septal defect (VSD) is a rare but potentially life threatening complication of chest wall injury. The traumatic VSD occurs in up to 4.5% of penetrating cardiac trauma. Most of the patients are usually operated on because of heart failure and/or significant left-to-right shunt. The feasibility of surgical repair under cardiopulmonary bypass may be affected by coexisting pulmonary, cerebral or other vascular injuries. Transcatheter closure of VSD is being considered as an alternative therapeutic modality to surgery in order to avoid the potential risk of cardiopulmonary bypass. We report a patient who underwent a successful transcatheter closure of VSD with an $Amplatzer^{(R)}$ VSD occluder. The patient had a residual VSD with significant left-to-right shunt after surgical repair of post-traumatic VSD using cardiopulmonary bypass.